Root Resorption: Symptoms, Complaints, Signs

The following symptoms and complaints may indicate root resorption:

Main symptoms

  • Trauma-related resorptions
    • External transient (temporary) resorption
      • Asymptomatic
      • Without clinical significance
    • External replacement absorption
      • Loss of physiological intrinsic mobility/anklosis (“fusion of the teeth with the jawbone“).
      • Bright percussion sound (knocking sound)
      • No percussion dolence (knocking sound)
      • In growing patients infraposition (malposition of the teeth) possible.
  • Resorptions due to infection
    • Initially usually asymptomatic
    • Absent or false positive reaction in the sensitivity test
    • later possibly:
      • Loosening
      • Dull percussion sound
      • Sensitivity to percussion (sensitivity to tapping)
      • Fistula formation
      • Extrusion (“lengthening of teeth”)
      • Local discomfort
  • Internal resorptions
      • Often asymptomatic; incidental finding or late diagnosis
      • Spontaneous fracture (spontaneous tooth fracture) in advanced lesion.
      • Pulpitis symptomatology (dental nerve inflammation symptomatology) possible.
        • Percussion dolence (tapping pain).
        • Positive vitality test (= sensitivity test positive).
      • “Pink spot” (shimmering through endodont/ “that which is in the tooth”) with pronounced internal resorption in the cervical area of the tooth crown.
  • Invasive cervical resorption
    • Often initially asymptomatic and unnoticed
    • Aggressive course